Provider Demographics
NPI:1679535330
Name:COLON ALONSO, JOSE A
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:COLON ALONSO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0072
Mailing Address - Country:US
Mailing Address - Phone:787-867-4715
Mailing Address - Fax:787-867-4715
Practice Address - Street 1:6 CALLE PEDRO ARROYO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4422
Practice Address - Country:US
Practice Address - Phone:787-867-4715
Practice Address - Fax:787-867-4715
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5225208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR26864COtherTRIPLE SSS
PR37521OtherPROSAM
PA065769OtherCRUZ AZUL
PR2503OtherPREFERRED MEDICARE CHOICE
PRM00146OtherMENONITA
PR7200011OtherHUMANA
PR3895654OtherCIGNA
PR201370OtherUTI
PR582323270OtherMEDICAL CARD SYSTEM
PRPG1747OtherPALIC
PR1923OtherINTERNANTIONAL MEDICAL
PR58332323270OtherCOSVIMED
PR58332323270OtherCOSVIMED
PR37521OtherPROSAM